Full-Arch Dental Implants · Bonney Lake, WA

A permanent solution for a permanent problem.

Walk in needing teeth. Walk out with teeth that day. Final zirconia in twelve weeks, by Dr. Volland, from first consultation to final delivery.

$15,000
Per Arch
All-inclusive pricing
Same Day
Provisional teeth
Seated at surgery
12 Weeks
To final zirconia
Permanent bridge
Board-Certified
Oral surgeon
ABOMS Diplomate
Which Protocol

Matched to your anatomy. Determined at consultation.

Three protocols, one roof. Selection is a clinical decision made after 3D cone beam CT imaging, not a phone conversation and not a price tier.

Most Common

All-on-4

Implants per arch
4 per arch
Bone grafting
Usually not required
Best for
Most patients
Outcomes / cost
94.8% survival at 10 years

Two anterior implants placed vertically, two posterior implants angled forward. Maximizes available bone, eliminating the need for grafting in most cases. The most studied and most proven full-arch protocol.

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Additional support

All-on-6

Implants per arch
6 per arch
Bone grafting
Sometimes required
Best for
Bruxism · high bite forces
Outcomes / cost
Same $15,000 all-inclusive

Adds two implants for greater load distribution. Selected when biomechanics warrant it, not as a price-tier upsell. Indicated for stronger bite forces, larger jaw structures, or a history of teeth grinding.

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For non-candidates

Zygomatic

Implants per arch
2-4 zygomatic + supplemental
Bone grafting
Avoids the need
Best for
Severe upper-jaw bone loss
Outcomes / cost
Quoted at consultation

Implants anchored in the cheekbone for patients with severe maxillary bone loss. Patients told they aren't candidates elsewhere are often candidates here.

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Smiling patient after full-arch dental implant treatment at Elite Oral Surgery
After Treatment

What life looks like on the other side.

Eat what you want.
Steak, apples, corn, foods dentures can't manage. Most patients say this is what they notice first.
Speak without thinking.
No slippage, no clicking. Full-arch patients report normal speech within days of the final delivery.
Forget they're there.
Fixed, not removable. No adhesive, no nightly routine. Over time, most patients stop thinking about their teeth entirely.
Preserve your jawbone.
Dentures accelerate bone loss over time. Implants transmit chewing force into the bone, keeping it healthy for decades.
Candidacy

Most patients qualify. We'll tell you at consultation.

An honest accounting. Most patients who reach a consultation are candidates, including many told they aren't by other practices.

Generally good candidates

Adults missing most or all teeth in one or both arches
Long-term denture wearers seeking a fixed alternative
Patients facing full extractions of failing dentition
Generally good overall health
Non-smokers, or willing to stop around the procedure
Committed to 6-month professional maintenance

Conditions that complicate candidacy

Uncontrolled diabetes (HbA1c above 7.5%)
Active heavy smoking (10+ cigarettes/day)
Current bisphosphonate or anti-resorptive medication
History of head and neck radiation therapy
Severe untreated periodontal disease
Appearance-only motivation without realistic expectations

Many of these are conditional, not absolute. Each patient is evaluated individually, not by a checklist.

Treatment Process

Three appointments. Twelve weeks.

A clear, deliberate sequence, no surprises, no mystery about what happens at each stage.

Day 01

Surgical placement. Teeth the same day.

Implants placed under IV sedation. Remaining failing teeth removed in the same surgery if needed. A printed PMMA provisional bridge is seated before you leave. You go home that afternoon with a functional smile.

Soft diet for 6-8 weeks. Most patients return to non-strenuous work in 3-5 days.
Same-day full-arch implant surgical placement procedure
Week 08

Prototype try-in. You approve the final design.

The provisional is evaluated for bite, speech, and aesthetics. A prototype of your final bridge is tried in. Adjustments are made with your input before zirconia is fabricated, you see and approve the result before anything is permanent.

Non-surgical appointment. ~90 minutes. Bring a second opinion if you'd like.
Prototype bridge try-in appointment for full-arch dental implants
Week 12

Final zirconia delivery. The permanent prosthesis.

Your permanent zirconia bridge with titanium framework is seated by Dr. Volland. Fracture-resistant, stain-resistant, biocompatible. The bridge is screw-retained, not cemented, meaning it can be serviced if ever needed, but never removed by you.

Full diet typically resumes within 1-2 weeks. Speech adapts within days.
Final zirconia dental implant bridge delivery by Dr. Volland
Materials

Zirconia is included. Not an upgrade.

The most common upcharge in full-arch pricing elsewhere is the upgrade from acrylic to zirconia, typically $3,000–$8,000 per arch extra. Zirconia is our standard because it's the right long-term material.

Phase 01 · Day of Surgery

PMMA Provisional

A printed acrylic bridge seated the same day. Functional, aesthetic, and your smile for the first 8–12 weeks while bone integrates. Not a tray of plastic, a real temporary restoration.

Functional immediately after surgery
Allows soft-food eating during healing
Natural appearance throughout recovery
Replaced at week 10–12 with zirconia
Phase 03 · Week 10–12

Zirconia Final Bridge

High-strength ceramic with titanium framework. Fracture-resistant, stain-resistant, biocompatible, and visually indistinguishable from natural enamel when properly characterized. Designed to last decades.

Included in base pricing, no upcharge
Titanium framework standard on every case
Screw-retained, not cemented
10+ year published durability data
Expected Outcomes

Two decades of published data.

The great majority of patients who received this treatment 18 years ago still have a functional, intact, fixed prosthesis today. This is not an experimental procedure.

94.8%
Implant survival
At 10 years
99.2%
Prosthesis survival
At 10 years
93.0%
Implant survival
At 10–18 years
98.8%
Prosthesis survival
At 10–18 years
¹ Maló et al., JADA 2011  ·  ² Maló et al., Clin Implant Dent Relat Res, 2019. Individual outcomes vary by anatomy, health history, and maintenance adherence.
Risks

Honest about what can go wrong.

Most full-arch programs don't include a risks section. We do, because the outcomes data above is stronger because of it, and because you deserve complete information before making any decision.

Condition
Approximate rate
Mitigation
Implant failure
~5-7% over 10 yrs
Rarely affects the prosthesis, the bridge is engineered to remain stable if one implant is lost. Replacement is a minor procedure.
Post-op infection
< 3%
Usually minor and antibiotic-responsive. Detailed post-op care and a 24-hr follow-up call are standard.
Sinus complication
< 2% (upper arch)
3D imaging maps sinus anatomy precisely before any placement is planned. Conservative sizing is the default.
Nerve alteration
< 1% (lower arch)
Usually temporary. Pre-surgical imaging identifies the nerve and establishes safe margins before surgery.
Prosthesis fracture
Variable - higher with bruxism
Night guard included in your plan if indicated. All-on-6 protocol selected for high-load cases.
All risks are reviewed at consultation and again as part of formal informed consent before surgery is scheduled.
In Their Words

Calm, careful, and clear, every time.

Pricing

One price. Everything included. Published up front.

$15,000 per arch, zirconia included as standard, no upcharges in the chair. Five financing partners. HSA/FSA eligible.

All-Inclusive Pricing
$15,000
Per arch · Zirconia included · No upcharges
3D Cone Beam CT imaging & surgical planning
Surgical placement of 4–6 implants per arch
In-house IV sedation by an oral surgeon
Same-day printed PMMA provisional bridge
8-week prototype try-in
Final zirconia bridge with titanium bar
All scheduled follow-up visits for 12 months
Bone grafting and zygomatic implants priced separately when clinically required. We'll tell you at consultation, not in the chair.
Financing Available

From $185/month

Five lending partners. Decisions in minutes. HSA/FSA eligible. Payment plans structured around your budget.

Founder Pricing

First 40 surgical patients.

Reserved for patients who join the opening list. Applied at consultation, no commitment required to secure your place.

See Full Pricing Breakdown
Alternatives

Not the only option.
Honestly compared.

Full-arch implants are right for many patients, not all. Here's how the alternatives stack up so you can make an informed decision.

Full-Arch Implants
Conventional Dentures
Implant Overdenture
Individual Implants
Function
Fixed · natural chewing
Removable · 30–50% efficiency
Removable snap-on · better than conv.
Fixed · natural-feeling
Bone
Preserved - implants stimulate bone
Progressive resorption over time
Partial - at implant sites only
Preserved at each site
Maintenance
Daily cleaning + 6-mo visits
Relines, adhesive, replacement
Daily + periodic adjustment
Daily + 6-mo visits
Est. 10yr cost
$15K + maintenance
$3K-$8K + ongoing
$8K-$15K + maintenance
$50K-$100K+
Common Questions

Answers, before you ask.

Will I be without teeth at any point?

No. The same-day provisional bridge is seated on the day of surgery, you leave the office with teeth. The only transition is from your provisional to your final zirconia at week 10–12.

How long do full-arch implants last?

The titanium implants are designed as a lifetime solution with 18+ years of published survival data. The zirconia prosthesis is engineered for decades. Professional maintenance every six months is required, the same as natural teeth.

Do I need a referral for a consultation?

No. Full-arch implant consultations with Dr. Volland are complimentary and require no referral. You can schedule directly through this page.

Can I get implants if I've worn dentures for years?

Yes, and this is one of the most common patient profiles. Long-term denture wear causes bone loss, but most patients still have adequate bone for All-on-4. Patients with severe loss are often candidates for zygomatic implants. The honest answer comes from 3D imaging at consultation, not from a prior assessment.

Will I need bone grafting?

The All-on-4 protocol is specifically designed to avoid bone grafting in most cases, since the angled posterior implants capture available bone that forward-only placement would miss. Some patients still require minor grafting. You'll know at consultation, with a written treatment plan, before any surgery is scheduled.

Is the $15,000 really all-inclusive?

Yes. It covers CT imaging, surgical planning, implant placement, in-house IV sedation, the same-day provisional, the prototype try-in, the final zirconia bridge with titanium bar, and all follow-up visits for 12 months. Bone grafting is the only potential addition, disclosed at consultation, not in the chair.

How is Elite Oral Surgery different from ClearChoice or Smile Now?

Dr. Volland is a board-certified oral and maxillofacial surgeon, an independent specialist. ClearChoice is owned by Aspen Dental Management (private equity); Smile Now's lead doctor is a general dentist with implant CE, not an OMS. Elite publishes pricing transparently. Both ClearChoice and Smile Now require a consultation before sharing any numbers.

What sedation options are available?

Dr. Volland offers the full spectrum: nitrous, oral sedation, IV conscious sedation, and general anesthesia, all delivered in-house by the surgeon performing your procedure. No contracted anesthesiologist, no coordination gap.

Opening April 2027

Your complimentary full-arch consultation.

3D imaging. A written treatment plan with exact pricing. A direct conversation with Dr. Volland. No obligation, no referral required.

  • Complimentary full-arch consultations
  • No referral required for implant cases
  • Dr. Volland follows up personally